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Massage Therapy Training
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3600 Laketon Road Pittsburgh, PA 15235 (412) 241-5155

Application for Enrollment

First Name (Legal Name)

Chosen Name

Gender

Last Name (Legal Name)

Birthday

Pronouns

Phone

Street Address

State/Region/Province

City

Postal / Zip code

Country

Education:

Education

High School or GED Information

High School Diploma

GED

Country

Approximate Graduation Date or GED Test Date

High School or Testing Center Information

Please upload a legible image of your High School Diploma or GED Document.

Upload Image

Have you ever been convicted of a felony or misdemeanor?

Yes

Please note that Pennsylvania requires a license to practice Massage Therapy and that certain criminal convictions may prevent you from becoming licensed. As such, we encourage you to disclose any criminal history you may have.

If yes, Please explain:

Program Information:

I am applying for admission to the Pittsburgh School of Massage Therapy’s Comprehensive Massage Therapy Diploma program (682 clock hours) with the following class schedule and start date:

Two-day (W-Th) - Fall

Two-day (M-Tu) - Winter

Two-day (W-Th) - Spring

Two-day (M-Tu) - Summer

Future Start Date

Wednesday & Thursday

9AM to 6PM

$12,800

Starts 9/25/2024

Monday & Tuesday

9AM to 6PM

$13,800

Starts 1/6/2025

Wednesday & Thursday

9AM to 6PM

$13,800

Starts 4/2/2025

Monday & Tuesday

9AM to 6PM

$13,800

Starts 7/7/2025

Statement of Purpose:

Please tell us who you are, why you want to attend massage school.

I attest that I have personally written the above statement of purpose. I certify that all the information in this application is accurate and understand it will be used to determine my admittance to the Pittsburgh School of Massage Therapy.

Your Signature

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